Effectiveness and Safety of Controlled Venous Pressure in Liver Surgery: A Systematic Review and Network Meta-Analysis
Joint Authors
Zhang, Xue Liang
Wang, Wen Ji
Wang, Wen Jin
Cao, Nong
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-13
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Objective.
To investigate the effectiveness and safety of controlled venous pressure in liver surgery and further to compare the clinical outcomes of low central venous pressure by infrahepatic inferior vena cava clamping (IVCC) and intraoperative anesthetic control (IAC).
Methods.
Online databases including PubMed, Embase, Cochrane Library, Clinical trials.gov, and China biology medicine database were comprehensively searched.
After identifying relevant studies out of the search results, quality assessment was performed according to the methods recommended by the Cochrane collaboration.
And meta-analysis was performed by both direct comparison and indirect comparison.
Results.
Thirteen studies containing 1252 patients were included.
Compared with control, controlled venous pressure significantly decreased central venous pressure, total blood loss, blood loss during transection, transfusion rate, and total incidence of complications.
Further analysis of IVCC and IAC showed that there was no significant difference in aspects of main clinical outcomes.
Conclusions.
Controlled venous pressure significantly decreased central venous pressure and achieved improvement of bleeding control in liver surgery.
It reduced total incidence of complications and chest infection, while it caused concerns about heart disorder.
Although IVCC was not worse than IAC in therapeutic effect, a superiority between them still needs to be explored.
American Psychological Association (APA)
Zhang, Xue Liang& Wang, Wen Ji& Wang, Wen Jin& Cao, Nong. 2015. Effectiveness and Safety of Controlled Venous Pressure in Liver Surgery: A Systematic Review and Network Meta-Analysis. BioMed Research International،Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1054909
Modern Language Association (MLA)
Zhang, Xue Liang…[et al.]. Effectiveness and Safety of Controlled Venous Pressure in Liver Surgery: A Systematic Review and Network Meta-Analysis. BioMed Research International No. 2015 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1054909
American Medical Association (AMA)
Zhang, Xue Liang& Wang, Wen Ji& Wang, Wen Jin& Cao, Nong. Effectiveness and Safety of Controlled Venous Pressure in Liver Surgery: A Systematic Review and Network Meta-Analysis. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1054909
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1054909